Linos A, Blair A, Gibson R W, Everett G, Van Lier S, Cantor K P, Schuman L, Burmeister L
Athens Medical School, Department of Epidemiology, Greece.
Arch Environ Health. 1991 Mar-Apr;46(2):70-4. doi: 10.1080/00039896.1991.9937431.
The risks of developing leukemia and non-Hodgkin's lymphoma from living near industrial facilities were evaluated among men from Iowa and Minnesota in a population-based, case-control study. We found a statistically significant increase in the risk of developing non-Hodgkin's lymphoma (RR = 1.4) and a slight, nonsignificant excess for leukemia (RR = 1.2) among individuals who lived .8-3.2 km (1/2-2 miles) from a factory. Risks were greater for certain histologic types: follicular lymphoma (RR = 1.5), acute lymphocytic leukemia (RR = 5.4), and acute myelocytic leukemia (RR = 2.2). For non-Hodgkin's lymphoma (but not for leukemia), the relative risks for those living within .8 km (1/2 mile) of a factory were similar or slightly larger than for those living .8-3.2 km (1/2-2 miles) from a factory. Risks did not increase with duration of residence near a factory. The elevated risks of non-Hodgkin's lymphoma were particularly associated with residing near stone, clay, or glass industry facilities. The risk of developing leukemia was greater among persons who resided near chemical and petroleum plants. These preliminary findings raise the possibility that general environmental exposure associated with certain industrial activities may elevate the risk of developing leukemia and non-Hodgkin's lymphoma. Evaluation of data on proximity to industrial plants from studies in other geographic locations is needed to determine whether our results represent a meaningful association.
在一项基于人群的病例对照研究中,对来自爱荷华州和明尼苏达州的男性进行了评估,以确定居住在工业设施附近患白血病和非霍奇金淋巴瘤的风险。我们发现,居住在距离工厂0.8 - 3.2公里(半英里至2英里)的人群中,患非霍奇金淋巴瘤的风险有统计学显著增加(相对风险RR = 1.4),患白血病的风险有轻微但不显著的增加(RR = 1.2)。某些组织学类型的风险更高:滤泡性淋巴瘤(RR = 1.5)、急性淋巴细胞白血病(RR = 5.4)和急性髓细胞白血病(RR = 2.2)。对于非霍奇金淋巴瘤(但不是白血病),居住在距离工厂0.8公里(半英里)以内的人群的相对风险与居住在距离工厂0.8 - 3.2公里(半英里至2英里)的人群相似或略高。风险并未随着在工厂附近居住时间的延长而增加。非霍奇金淋巴瘤风险的升高尤其与居住在石材、粘土或玻璃工业设施附近有关。居住在化学和石油工厂附近的人群患白血病的风险更高。这些初步发现增加了一种可能性,即与某些工业活动相关的一般环境暴露可能会增加患白血病和非霍奇金淋巴瘤的风险。需要评估其他地理位置研究中关于与工业工厂距离的数据,以确定我们的结果是否代表一种有意义的关联。